NPI | 1003271149 |
---|---|
Former Name | LORENA LLANET FUENTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011859) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 764782) |
Enumeration Date | 2015-12-16 |
Last Update Date | 2023-08-16 |